- Care New England Health System (Providence, R.I.) — from BBB to BBB- (Fitch)
- Dartmouth-Hitchcock (Lebanon, N.H.) — from A+ to A (Fitch)
- East Texas Medical Center Regional Healthcare System (Tyler) — from Baa3 to Ba1 (Moody’s)
- Fremont-Rideout Health Group (Marysville, Calif.) — from Baa2 to Ba3 (Moody’s)
- Great Plains Regional Medical Center (Elk City, Okla.) — from BB to BB- (S&P)
- Houston Healthcare (Warner Robins, Ga.) — from A2 to A3 (Moody’s)
- Jennie Stuart Medical Center (Hopkinsville, Ky.) — from BBB- to BB+ (S&P)
- Lawrence + Memorial Hospital (New London, Conn.) — from A to A- (Fitch)
- Lexington Medical Center (West Columbia, S.C.) — from AA- to A+ (Fitch)
- Louisiana Children’s Medical Center (New Orleans) — from AA- to A+ (S&P)
- Miami Valley Hospital (Dayton, Ohio) — from Aa3 to A2 (Moody’s)
- Southcoast Health System (Bedford, Mass.) — from A- to BBB+ (S&P)
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